Correction check·August 2, 2023

On 8/2/2023 at 1:40 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Hall arrived unannounced to conduct Plan of Correction (POC) visit. LPAs met with Obed D'Autruche, Administrator, and explained the purpose of the visit. LPA conducted a 1year Annual visit on 06/27/23 and cited facility. Facility has the following deficiencies that were not cleared : 87458(a), LPAs observed no Physicians Report 87412(a), LPAs observed no completed staff records in files HSC1569.695(c), LPAs observed no quarterly fire-drills completed Civil Penalties for 87458(a) in the amount of $900.00 assessed immediately for the period of 7/25/2023 to 8/2/2023. Civil Penalties for 87412(a) in the amount of $900.00 assessed immediately for the period of 7/25/2023 to 8/2/2023. Civil Penalties for HSC 1569.695(c) in the amount of $900.00 assessed immediately for the period of 7/25/2023 to 8/2/2023. LIC 809-C Continued... LIC 809 Continued... Civil Penalties in the total amount of $2700.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected. Exit interview conducted. Appeal Rights, LIC421M, and a copy of this report provided.